Tuesday, December 2, 2008
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Account Information
UserID:
Name:
E-mail:
Contact No.:
Best Time to Call:
Complaint
Occurrence Date and Time:
(mm/dd/yy)
(AM/PM)
Disputed Charges in Billing
Disagreement on Subscription Plan
Service Disconnection
Unauthorized Usage
Technical: Dialup Connection, SPAM, Surfing
Customer Service: Unresponsive, Insensitive, Rude
Marketing: False marketing, Unmet Promise
Details of Complaint:
Have you contacted our Customer Service Officer?
Yes
No
If yes, when and name of the person whom you have spoken
Outcomes of your discussion regarding your complaint
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